Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diba Izadyar, PA-C

Individual provider Physician Assistant · NPI 1710520671

Diba Izadyar, PA-C is a Physician Assistant in Upland, California. Qualified in 2019, 7 years ago. Practices with City of Hope Medical Foundation, a 959-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1100 San Bernardino Rd Ste 1100
Upland, CA 91786-4952
Phone: (909) 949-2242
Fax: (909) 981-5783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57199 (CA)

Record details

NPI number1710520671
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 23, 2019
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice City Of Hope Medical Foundation — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Upland